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Phlebology

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https://www.readbyqxmd.com/read/27885107/a-systematic-review-of-clinical-prediction-scores-for-deep-vein-thrombosis
#1
REVIEW
Marina Kafeza, Joseph Shalhoub, Nina Salooja, Lucy Bingham, Konstantina Spagou, Alun H Davies
OBJECTIVE: Diagnosis of deep vein thrombosis remains a challenging problem. Various clinical prediction rules have been developed in order to improve diagnosis and decision making in relation to deep vein thrombosis. The purpose of this review is to summarise the available clinical scores and describe their applicability and limitations. METHODS: A systematic search of PubMed, MEDLINE and EMBASE databases was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance using the keywords: clinical score, clinical prediction rule, risk assessment, clinical probability, pretest probability, diagnostic score and medical Subject Heading terms: 'Venous Thromboembolism/diagnosis' OR 'Venous Thrombosis/diagnosis'...
November 24, 2016: Phlebology
https://www.readbyqxmd.com/read/27864562/response-to-letter-long-term-follow-up-results-of-patients-undergoing-transjugular-coil-embolisation
#2
EDITORIAL
Mark Whiteley, Scott Dos Santos
No abstract text is available yet for this article.
November 18, 2016: Phlebology
https://www.readbyqxmd.com/read/27864561/incidence-of-deep-vein-thrombosis-in-patients-undergoing-breast-reconstruction-with-autologous-tissue-transfer
#3
Hisato Konoeda, Takashi Yamaki, Atsumori Hamahata, Masakazu Ochi, Atsuyoshi Osada, Yuki Hasegawa, Miho Kirita, Hiroyuki Sakurai
BACKGROUND: Breast reconstruction is associated with multiple risk factors for venous thromboembolism. However, the incidence of deep vein thrombosis in patients undergoing breast reconstruction is uncertain. OBJECTIVE: The aim of this study was to prospectively evaluate the incidence of deep vein thrombosis in patients undergoing breast reconstruction using autologous tissue transfer and to identify potential risk factors for deep vein thrombosis. METHODS: Thirty-five patients undergoing breast reconstruction were enrolled...
November 17, 2016: Phlebology
https://www.readbyqxmd.com/read/27864560/what-is-pathological-may-thurner-syndrome
#4
EDITORIAL
Maira Hameed, Sarah Onida, Alun H Davies
No abstract text is available yet for this article.
November 17, 2016: Phlebology
https://www.readbyqxmd.com/read/27811287/impact-of-uk-nice-clinical-guidelines-168-and-social-deprivation-on-access-to-interventional-treatment-for-symptomatic-varicose-vein-and-specialist-referral-for-leg-ulceration
#5
Huw Ob Davies, Matthew Popplewell, Gareth Bate, Lisa Kelly, Andreas Koutsoumpelis, Andrew W Bradbury
BACKGROUND: UK National Institute for Health and Care Excellence (NICE) clinical guidelines (CG) 168, published in July 2013, aimed to improve the management of lower limb venous disease by newly recommending interventional treatment for all people affected by symptomatic varicose veins (VV) and specialist vascular referral for all people suffering from a leg ulcer (LU) that had been present for ≥2 weeks. This study aims to determine if CG168 has increased access to vascular services, particularly for the socially deprived, who might be expected to have greater need for such services...
November 2, 2016: Phlebology
https://www.readbyqxmd.com/read/27799418/a-standardized-ultrasound-approach-to-pelvic-congestion-syndrome
#6
Nicos Labropoulos, Patrick T Jasinski, Demetri Adrahtas, Antonios P Gasparis, Mark H Meissner
Pelvic congestion syndrome is one of the many causes of chronic pelvic pain and is often diagnosed based on exclusion of other pathologies. Over the past decades, pelvic congestion syndrome was recognized to be a more common cause of chronic pelvic pain. Multiple diagnostic modalities including pelvic duplex ultrasonography, transvaginal ultrasonography, computed tomography, and magnetic resonance were studied. In the current literature, selective ovarian venography, an invasive imaging approach, is believed to be the gold standard for diagnosing pelvic congestion syndrome...
October 31, 2016: Phlebology
https://www.readbyqxmd.com/read/27789765/the-predictive-value-of-haemodynamic-parameters-for-outcome-of-deep-venous-reconstructions-in-patients-with-chronic-deep-vein-obstruction-a-systematic-review
#7
Rlm Kurstjens, Maf de Wolf, J Kleijnen, R de Graaf, Cha Wittens
OBJECTIVE: The aim of this study was to investigate the predictive value of haemodynamic parameters on success of stenting or bypass surgery in patients with non-thrombotic or post-thrombotic deep venous obstruction. METHODS: EMBASE, MEDLINE and trial registries were searched up to 5 February 2016. Studies needed to investigate stenting or bypass surgery in patients with post-thrombotic obstruction or stenting for non-thrombotic iliac vein compression. Haemodynamic data needed to be available with prognostic analysis for success of treatment...
October 27, 2016: Phlebology
https://www.readbyqxmd.com/read/27760806/short-term-results-of-isolated-phlebectomy-with-preservation-of-incompetent-great-saphenous-vein-asval-procedure-in-primary-varicose-veins-disease
#8
Igor A Zolotukhin, Evgeny I Seliverstov, Elena A Zakharova, Alexander I Kirienko
OBJECTIVE: To establish an effect of isolated phlebectomy in patients with incompetent great saphenous vein (Ambulatory Selective Varices Ablation under Local anesthesia (ASVAL) procedure) on the reflux and diameter of the trunk and to assess recurrence rate of varicose veins at one year. MATERIAL AND METHODS: We conducted a prospective study on patients with primary varicose veins and with C2 or C2,3 or C2,3,4 or C2,4 classes of chronic venous disease and great saphenous vein incompetence...
October 19, 2016: Phlebology
https://www.readbyqxmd.com/read/27756859/a-specifically-designed-aquatic-exercise-protocol-to-reduce-chronic-lower-limb-edema
#9
Sergio Gianesini, Mirko Tessari, Primo Bacciglieri, Anna Maria Malagoni, Erica Menegatti, Savino Occhionorelli, Nino Basaglia, Paolo Zamboni
OBJECTIVE: Despite the fact that muscle pump activation is known to positively impact chronic lower limb edema, objective measurements of standardized exercises for venous-lymphatic rehab are lacking. The aim of this investigation is to determine the effectiveness of an addressed physical activity exploiting the advantages of an aquatic environment. MATERIAL AND METHODS: Thirty-two lower limbs of 16 patients affected by bilateral chronic leg swelling were included (12 females, 4 males)...
October 18, 2016: Phlebology
https://www.readbyqxmd.com/read/27738242/american-college-of-phlebology-guidelines-treatment-of-refluxing-accessory-saphenous-veins
#10
Kathleen Gibson, Neil Khilnani, Marlin Schul, Mark Meissner
The American College of Phlebology Guidelines Committee performed a systematic review of the literature regarding the clinical impact and treatment of incompetent accessory saphenous veins. Using an accepted process for guideline developments, we developed a consensus opinion that patients with symptomatic incompetence of the accessory great saphenous veins (anterior and posterior accessory saphenous veins) be treated with endovenous thermal ablation (laser or radiofrequency) or ultrasound-guided foam sclerotherapy to eliminate symptomatology (Recommendation Grade 1C)...
October 13, 2016: Phlebology
https://www.readbyqxmd.com/read/27738241/evaluation-of-sodium-tetradecyl-sulfate-and-polidocanol-as-sclerosants-for-leg-telangiectasia-based-on-histological-evaluation-with-clinical-correlation
#11
Ronald Bush, Peggy Bush
INTRODUCTION: This study was designed to determine by histological evaluation and clinical correlation the most effective sclerosant concentration of Sotradecol® (sodium tetradecyl sulfate) and Asclera® (polidocanol) for the treatment of leg telangiectasia. METHODS: Histological studies were completed on 40 patients, all of whom were female with a mean age of 53. After sclerotherapy with varying concentrations of sclerosant solutions for the treatment of 0.8 mm and 1 mm leg telangiectasia, histological specimens were examined for the following criteria: luminal changes, subintimal changes, smooth muscle wall alterations, and vessel wall integrity...
October 12, 2016: Phlebology
https://www.readbyqxmd.com/read/27738240/youtube-as-a-potential-source-of-information-on-deep-venous-thrombosis
#12
Mehmet Ş Bademci, Serkan Yazman, Tevfik Güneş, Gokhan Ocakoglu, Kaptanderya Tayfur, Orhan Gokalp
BACKGROUND: No work has been reported on the use of video websites to learn about deep vein thrombosis and the value of education using them. We examined the characteristics and scientific accuracy of videos related to deep vein thrombosis on YouTube. METHODS: YouTube was surveyed using no filter and the key words 'deep vein thrombosis' and 'leg vein clot' in June 2016. The videos evaluated were divided into three groups in terms of their scientific content, accuracy, and currency: useful, partly useful, and useless...
October 12, 2016: Phlebology
https://www.readbyqxmd.com/read/27738239/generation-of-sclerosant-foams-by-mechanical-methods-increases-the-foam-temperature
#13
Lulu Tan, Kaichung Wong, David Connor, Babak Fakhim, Masud Behnia, Kurosh Parsi
OBJECTIVE: To investigate the effect of agitation on foam temperature. METHODS: Sodium tetradecyl sulphate and polidocanol were used. Prior to foam generation, the sclerosant and all constituent equipment were cooled to 4-25℃ and compared with cooling the sclerosant only. Foam was generated using a modified Tessari method. During foam agitation, the temperature change was measured using a thermocouple for 120 s. RESULTS: Pre-cooling all the constituent equipment resulted in a cooler foam in comparison with only cooling the sclerosant...
October 12, 2016: Phlebology
https://www.readbyqxmd.com/read/27703068/hospital-incidence-and-annual-rates-of-hospitalization-for-venous-thromboembolic-disease-in-france-and-the-usa
#14
François-André Allaert, Eric Benzenine, Catherine Quantin
OBJECTIVE: The study was designed to describe the hospital incidences and annual hospitalization rates for venous thromboembolic disease by age and sex in France and the United States on the closest possible methodological bases. METHODS: French statistics are from the PMSI MCO (Programme de médicalisation des système d'information de médecine, chirurgie et obstétrique (French national hospital discharge register)) national database. These are compiled for each calendar year by collating résumé de sortie anonymisé (RSA, anonymous discharge summary) files forwarded and validated by health establishments with admissions in medicine, surgery, obstetrics, and odontology...
October 4, 2016: Phlebology
https://www.readbyqxmd.com/read/27703067/fibrin-gel-versus-papain-gel-in-the-healing-of-chronic-venous-ulcers-a-double-blind-randomized-controlled-trial
#15
Illymack Cf de Araújo, Elenice Defune, Luciana Pf Abbade, Hélio A Miot, Matheus Bertanha, Lídia R de Carvalho, Rosana R Ferreira, Winston B Yoshida
OBJECTIVES: Compare the efficacy and safety of fibrin gel to 8% papain gel for wound dressing of venous ulcers. METHOD: Patients with chronic venous ulcers were randomly assigned to one in three groups: Group 1-fibrin gel; Group 2-8% papain gel; Group 3-carbopol gel (control). Patients were seen every 15 days during 2 months, verifying reduction of the ulcer area, local infection, exudation, and epithelization. All serious or nonserious adverse events were recorded...
October 4, 2016: Phlebology
https://www.readbyqxmd.com/read/27688038/angiomatosis-of-soft-tissue-as-an-important-differential-diagnosis-for-intramuscular-venous-malformations
#16
Johanna Aronniemi, Jouko Lohi, Päivi Salminen, Pia Vuola, Kimmo Lappalainen, Anne Pitkäranta, Johanna Pekkola
BACKGROUND: We aimed to improve management of extremity low-flow vascular malformations by analyzing the histology and imaging of venous malformations (VMs) not responsive to sclerotherapy. METHOD: We reviewed patient records of 102 consecutive patients treated with sclerotherapy for extremity VM in our institution to identify patients who had undergone surgery due to insufficient response. We semi-quantitatively analysed the tissue specimens and compared histological findings to those in preoperative imaging...
September 29, 2016: Phlebology
https://www.readbyqxmd.com/read/27688037/hydrodisplacement-of-sural-nerve-for-safety-and-efficacy-of-endovenous-thermal-ablation-for-small-saphenous-vein-incompetence
#17
Omar Rodriguez-Acevedo, Kristen E Elstner, Kui Martinic, Aaron Zea, Jenny Diaz, Rodrigo T Martins, Fernando Arduini, Alexandra Hodgkinson, Nabeel Ibrahim
BACKGROUND: Endovenous radio frequency ablation for small saphenous vein incompetence by and large appears to be superior and safer than conventional open surgery. Small saphenous vein ablation from approximately mid-calf to the point proximally where the small saphenous vein dives into the popliteal fossa is considered to be safe, as the sural nerve is in most cases separated from this segment of the small saphenous vein by the deep fascia. The outcome of the distal incompetent small saphenous vein remains unclear...
September 29, 2016: Phlebology
https://www.readbyqxmd.com/read/27614760/reply-letter-to-the-editor-regarding-the-role-of-radical-surgery-in-the-management-of-ceap-c5-6-and-lipodermatosclerosis
#18
Gábor Martis
No abstract text is available yet for this article.
September 10, 2016: Phlebology
https://www.readbyqxmd.com/read/27604251/invited-commentary-regarding-hemodynamics-based-treatment-of-varices-a-therapeutic-concept-counteracting-the-intrinsic-tendency-of-varicose-veins-to-recur
#19
https://www.readbyqxmd.com/read/27597562/summaries-of-recent-phlebological-abstracts
#20
L Kabnick, J Almeida
No abstract text is available yet for this article.
October 2016: Phlebology
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